ePath R4 Implementation Guide
1.0.0 - ci-build Japan

ePath R4 Implementation Guide - Local Development build (v1.0.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

## : bundle-ep12-example - XML Representation

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    <Bundle xmlns="http://hl7.org/fhir">
      <id value="bundle-ep12-example"/>
      <meta>
        <lastUpdated value="2025-02-28T08:43:51.538+09:00"/>
        <profile
                 value="http://e-path.jp/fhir/ePath/StructureDefinition/EPath_Bundle_Message_EP12"/>
        <tag>
          <system value="urn:oid:1.2.392.200250.2.2.50.20"/>
          <code value="12"/>
        </tag>
      </meta>
      <identifier>
        <system value="http://e-path.jp/fhir/ePath/IdSystem/apply-id"/>
        <value value="d45b4072-9302-4012-85c5-962b17cb2a00"/>
        <assigner>
          <identifier>
            <system value="urn:oid:1.2.392.200250.2.2.1"/>
            <value value="4019819897"/>
          </identifier>
        </assigner>
      </identifier>
      <type value="collection"/>
      <entry>
        <fullUrl value="urn:uuid:744c17d2-14a6-48ec-8985-0283cbc0f0d6"/>
        <resource>
          <Organization>
            <meta>
              <lastUpdated value="2025-02-28T08:43:51.538+09:00"/>
              <profile
                       value="http://e-path.jp/fhir/ePath/StructureDefinition/EPath_Organization"/>
            </meta>
            <text>
              <status value="generated"/>
              <div xmlns="http://www.w3.org/1999/xhtml"><a name="Organization_null"> </a>ePathテスト病院</div>
            </text>
            <identifier>
              <system
                      value="http://e-path.jp/fhir/ePath/IdSystem/resourceInstance-identifier"/>
              <value value="facility^4019819897"/>
            </identifier>
            <identifier>
              <system
                      value="http://jpfhir.jp/fhir/core/IdSystem/insurance-medical-institution-no"/>
              <value value="4019819897"/>
            </identifier>
            <type>
              <coding>
                <system
                        value="http://terminology.hl7.org/CodeSystem/organization-type"/>
                <code value="prov"/>
              </coding>
            </type>
            <name value="ePathテスト病院"/>
          </Organization>
        </resource>
      </entry>
      <entry>
        <fullUrl value="urn:uuid:550ae89f-7884-4b60-84a9-9de4b605ed6b"/>
        <resource>
          <Patient>
            <meta>
              <lastUpdated value="2025-02-28T08:43:51.538+09:00"/>
              <profile
                       value="http://e-path.jp/fhir/ePath/StructureDefinition/EPath_Patient"/>
            </meta>
            <text>
              <status value="generated"/>
              <div xmlns="http://www.w3.org/1999/xhtml"><a name="Patient_null"> </a>駿河 葵</div>
            </text>
            <identifier>
              <system
                      value="http://e-path.jp/fhir/ePath/IdSystem/resourceInstance-identifier"/>
              <value value="patient^4019819897.0001014360"/>
            </identifier>
            <identifier>
              <system value="urn:oid:1.2.392.100495.20.3.51.1.4019819897"/>
              <value value="0001014360"/>
            </identifier>
            <name>
              <extension
                         url="http://hl7.org/fhir/StructureDefinition/iso21090-EN-representation">
                <valueCode value="IDE"/>
              </extension>
              <family value="駿河"/>
              <given value="葵"/>
            </name>
            <name>
              <extension
                         url="http://hl7.org/fhir/StructureDefinition/iso21090-EN-representation">
                <valueCode value="SYL"/>
              </extension>
              <family value="スルガ"/>
              <given value="アオイ"/>
            </name>
            <gender value="male"/>
            <birthDate value="1938-06-26"/>
            <managingOrganization>
              <reference value="urn:uuid:744c17d2-14a6-48ec-8985-0283cbc0f0d6"/>
            </managingOrganization>
          </Patient>
        </resource>
      </entry>
      <entry>
        <fullUrl value="urn:uuid:24a7aa24-85e9-415d-8028-6912eb21eaf2"/>
        <resource>
          <Encounter>
            <meta>
              <lastUpdated value="2025-02-28T08:43:51.538+09:00"/>
              <profile
                       value="http://e-path.jp/fhir/ePath/StructureDefinition/EPath_Encounter_Admission"/>
            </meta>
            <text>
              <status value="generated"/>
              <div xmlns="http://www.w3.org/1999/xhtml"><a name="Encounter_null"> </a>【入院期間】2018年06月05日～2018年06月08日</div>
            </text>
            <extension
                       url="http://e-path.jp/fhir/ePath/Extension/StructureDefinition/EPath_Encounter_ClinicalDepartment">
              <valueCodeableConcept>
                <text value="循環器内科"/>
              </valueCodeableConcept>
            </extension>
            <extension
                       url="http://e-path.jp/fhir/ePath/Extension/StructureDefinition/EPath_Encounter_ClinicalDepartment">
              <valueCodeableConcept>
                <coding>
                  <system value="urn:oid:2.16.840.1.113883.12.69"/>
                  <code value="02"/>
                  <display value="内科"/>
                </coding>
                <text value="内科"/>
              </valueCodeableConcept>
            </extension>
            <extension
                       url="http://e-path.jp/fhir/ePath/Extension/StructureDefinition/EPath_Encounter_PatientDeathIndicator">
              <valueCode value="N"/>
            </extension>
            <identifier>
              <system
                      value="http://e-path.jp/fhir/ePath/IdSystem/resourceInstance-identifier"/>
              <value
                     value="admission^4019819897^d45b4072-9302-4012-85c5-962b17cb2a00"/>
            </identifier>
            <status value="finished"/>
            <class>
              <system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/>
              <code value="IMP"/>
            </class>
            <subject>
              <reference value="urn:uuid:550ae89f-7884-4b60-84a9-9de4b605ed6b"/>
            </subject>
            <period>
              <start value="2018-06-05T00:00:00+09:00"/>
              <end value="2018-06-08T00:00:00+09:00"/>
            </period>
            <reasonReference>
              <reference value="urn:uuid:a1ceaa1f-fd3c-4f32-ba85-80baca010c8a"/>
              <display value="狭心症"/>
            </reasonReference>
            <serviceProvider>
              <reference value="urn:uuid:744c17d2-14a6-48ec-8985-0283cbc0f0d6"/>
            </serviceProvider>
          </Encounter>
        </resource>
      </entry>
      <entry>
        <fullUrl value="urn:uuid:a1ceaa1f-fd3c-4f32-ba85-80baca010c8a"/>
        <resource>
          <Condition>
            <meta>
              <lastUpdated value="2025-02-28T08:43:51.538+09:00"/>
              <profile
                       value="http://e-path.jp/fhir/ePath/StructureDefinition/EPath_Condition_CarePlanAddresses"/>
            </meta>
            <text>
              <status value="generated"/>
              <div xmlns="http://www.w3.org/1999/xhtml"><a name="Condition_null"> </a><span>狭心症</span></div>
            </text>
            <identifier>
              <system
                      value="http://e-path.jp/fhir/ePath/IdSystem/resourceInstance-identifier"/>
              <value
                     value="disease^4019819897^d45b4072-9302-4012-85c5-962b17cb2a00^20058911"/>
            </identifier>
            <clinicalStatus>
              <coding>
                <system
                        value="http://terminology.hl7.org/CodeSystem/condition-clinical"/>
                <code value="active"/>
                <display value="Active"/>
              </coding>
            </clinicalStatus>
            <verificationStatus>
              <coding>
                <system
                        value="http://terminology.hl7.org/CodeSystem/condition-ver-status"/>
                <code value="confirmed"/>
                <display value="Confirmed"/>
              </coding>
            </verificationStatus>
            <category>
              <coding>
                <system
                        value="http://terminology.hl7.org/CodeSystem/condition-category"/>
                <code value="encounter-diagnosis"/>
              </coding>
            </category>
            <code>
              <coding>
                <system value="urn:oid:1.2.392.200119.4.101.2"/>
                <code value="20058911"/>
                <display value="狭心症"/>
              </coding>
            </code>
            <subject>
              <reference value="urn:uuid:550ae89f-7884-4b60-84a9-9de4b605ed6b"/>
            </subject>
          </Condition>
        </resource>
      </entry>
      <entry>
        <fullUrl value="urn:uuid:b26ae30d-7a8e-4593-a293-91c9bf3c582b"/>
        <resource>
          <Procedure>
            <meta>
              <lastUpdated value="2025-02-28T08:43:51.538+09:00"/>
              <profile
                       value="http://e-path.jp/fhir/ePath/StructureDefinition/EPath_Procedure_MajorEvent"/>
            </meta>
            <text>
              <status value="generated"/>
              <div xmlns="http://www.w3.org/1999/xhtml"><a name="Procedure_null"> </a><span>主要イベント：手術</span></div>
            </text>
            <extension
                       url="http://e-path.jp/fhir/ePath/Extension/StructureDefinition/EPath_Procedure_AdmissionMajorEventElapsedDays">
              <valueString value="4"/>
            </extension>
            <extension
                       url="http://e-path.jp/fhir/ePath/Extension/StructureDefinition/EPath_Procedure_AdmissionMajorEventDate">
              <valueDate value="2018-06-07"/>
            </extension>
            <identifier>
              <system
                      value="http://e-path.jp/fhir/ePath/IdSystem/resourceInstance-identifier"/>
              <value
                     value="4019819897.d45b4072-9302-4012-85c5-962b17cb2a00.4.ope.majorevent"/>
            </identifier>
            <status value="completed"/>
            <category>
              <coding>
                <system
                        value="http://e-path.jp/fhir/ePath/CodeSystem/EPath_AdmissionMajorEventCategory_CS"/>
                <code value="ope"/>
                <display value="手術"/>
              </coding>
            </category>
            <code>
              <text value="主要イベント：手術"/>
            </code>
            <subject>
              <reference value="urn:uuid:550ae89f-7884-4b60-84a9-9de4b605ed6b"/>
            </subject>
            <encounter>
              <reference value="urn:uuid:24a7aa24-85e9-415d-8028-6912eb21eaf2"/>
            </encounter>
            <performedPeriod>
              <start value="2018-06-07T10:30:00+09:00"/>
              <end value="2018-06-07T12:30:00+09:00"/>
            </performedPeriod>
          </Procedure>
        </resource>
      </entry>
      <entry>
        <fullUrl value="urn:uuid:b3d7212a-6729-4f59-a234-3252f3327e53"/>
        <resource>
          <Procedure>
            <meta>
              <lastUpdated value="2025-02-28T08:43:51.538+09:00"/>
              <profile
                       value="http://e-path.jp/fhir/ePath/StructureDefinition/EPath_Procedure_MajorEvent"/>
            </meta>
            <text>
              <status value="generated"/>
              <div xmlns="http://www.w3.org/1999/xhtml"><a name="Procedure_null"> </a><span>主要イベント：手術２</span></div>
            </text>
            <extension
                       url="http://e-path.jp/fhir/ePath/Extension/StructureDefinition/EPath_Procedure_AdmissionMajorEventElapsedDays">
              <valueString value="4"/>
            </extension>
            <extension
                       url="http://e-path.jp/fhir/ePath/Extension/StructureDefinition/EPath_Procedure_AdmissionMajorEventDate">
              <valueDate value="2018-06-07"/>
            </extension>
            <identifier>
              <system
                      value="http://e-path.jp/fhir/ePath/IdSystem/resourceInstance-identifier"/>
              <value
                     value="4019819897.d45b4072-9302-4012-85c5-962b17cb2a00.4.ope-2.majorevent"/>
            </identifier>
            <status value="completed"/>
            <category>
              <coding>
                <system
                        value="http://e-path.jp/fhir/ePath/CodeSystem/EPath_AdmissionMajorEventCategory_CS"/>
                <code value="ope-2"/>
                <display value="手術２"/>
              </coding>
            </category>
            <code>
              <text value="主要イベント：手術２"/>
            </code>
            <subject>
              <reference value="urn:uuid:550ae89f-7884-4b60-84a9-9de4b605ed6b"/>
            </subject>
            <encounter>
              <reference value="urn:uuid:24a7aa24-85e9-415d-8028-6912eb21eaf2"/>
            </encounter>
            <performedPeriod>
              <start value="2018-06-07T20:30:00+09:00"/>
              <end value="2018-06-07T21:30:00+09:00"/>
            </performedPeriod>
            <usedCode>
              <coding>
                <system
                        value="http://e-path.jp/fhir/ePath/CodeSystem/EPath_AnesthesiaTypes_CS"/>
                <code value="anesthesia-01"/>
                <display value="麻酔"/>
              </coding>
            </usedCode>
          </Procedure>
        </resource>
      </entry>
      <entry>
        <fullUrl value="urn:uuid:24b75aa4-1f99-4070-a98a-5b970603e5fa"/>
        <resource>
          <CarePlan>
            <meta>
              <lastUpdated value="2025-02-28T08:43:51.538+09:00"/>
              <profile
                       value="http://e-path.jp/fhir/ePath/StructureDefinition/EPath_CarePlan_ePathApply"/>
            </meta>
            <text>
              <status value="generated"/>
              <div xmlns="http://www.w3.org/1999/xhtml"><a name="CarePlan_null"> </a>PCI（2泊3日）NP Local</div>
            </text>
            <extension
                       url="http://e-path.jp/fhir/ePath/Extension/StructureDefinition/EPath_CarePlan_AdaptiveCriteriaConfirmation">
              <valueCode value="1"/>
            </extension>
            <extension
                       url="http://e-path.jp/fhir/ePath/Extension/StructureDefinition/EPath_CarePlan_AdaptiveCriteriaText">
              <valueString value="（適用基準）"/>
            </extension>
            <extension
                       url="http://e-path.jp/fhir/ePath/Extension/StructureDefinition/EPath_CarePlan_ScheduledDays">
              <valueInteger value="3"/>
            </extension>
            <identifier>
              <extension
                         url="http://e-path.jp/fhir/ePath/StructureDefinition/EPath_Identifier_EPathIdentification_Name">
                <valueString value="PCI（2泊3日）NP"/>
              </extension>
              <extension
                         url="http://e-path.jp/fhir/ePath/StructureDefinition/EPath_Identifier_EPathIdentification_Version">
                <valueString value="1.0"/>
              </extension>
              <system value="urn:oid:1.2.392.200250.2.2.50.10"/>
              <value value="CN05I00511-0"/>
            </identifier>
            <identifier>
              <extension
                         url="http://e-path.jp/fhir/ePath/StructureDefinition/EPath_Identifier_EPathIdentification_Name">
                <valueString value="PCI（2泊3日）NP Local"/>
              </extension>
              <extension
                         url="http://e-path.jp/fhir/ePath/StructureDefinition/EPath_Identifier_EPathIdentification_Version">
                <valueString value="1.0.1"/>
              </extension>
              <system
                      value="http://e-path.jp/fhir/ePath/IdSystem/FacilityClinicalPathwayIdentifier"/>
              <value value="CN05I00511-0L"/>
              <assigner>
                <identifier>
                  <system value="urn:oid:1.2.392.200250.2.2.1"/>
                  <value value="4019819897"/>
                </identifier>
              </assigner>
            </identifier>
            <identifier>
              <system
                      value="http://e-path.jp/fhir/ePath/IdSystem/resourceInstance-identifier"/>
              <value
                     value="careplan^4019819897^d45b4072-9302-4012-85c5-962b17cb2a00"/>
            </identifier>
            <identifier>
              <system value="http://e-path.jp/fhir/ePath/IdSystem/apply-id"/>
              <value value="d45b4072-9302-4012-85c5-962b17cb2a00"/>
            </identifier>
            <status value="completed"/>
            <intent value="plan"/>
            <title value="PCI（2泊3日）NP Local"/>
            <subject>
              <reference value="urn:uuid:550ae89f-7884-4b60-84a9-9de4b605ed6b"/>
            </subject>
            <encounter>
              <reference value="urn:uuid:24a7aa24-85e9-415d-8028-6912eb21eaf2"/>
            </encounter>
            <period>
              <start value="2018-06-05T00:00:00+09:00"/>
              <end value="2018-06-07T00:00:00+09:00"/>
            </period>
            <addresses>
              <reference value="urn:uuid:a1ceaa1f-fd3c-4f32-ba85-80baca010c8a"/>
              <display value="狭心症"/>
            </addresses>
            <goal>
              <reference value="urn:uuid:6d3605f7-2767-4ee8-8ab1-5973268da412"/>
            </goal>
            <activity>
              <outcomeReference>
                <reference value="urn:uuid:b26ae30d-7a8e-4593-a293-91c9bf3c582b"/>
                <display value="主要イベント：手術"/>
              </outcomeReference>
            </activity>
            <activity>
              <outcomeReference>
                <reference value="urn:uuid:b3d7212a-6729-4f59-a234-3252f3327e53"/>
                <display value="主要イベント：手術２"/>
              </outcomeReference>
            </activity>
          </CarePlan>
        </resource>
      </entry>
      <entry>
        <fullUrl value="urn:uuid:6d3605f7-2767-4ee8-8ab1-5973268da412"/>
        <resource>
          <Goal>
            <meta>
              <lastUpdated value="2025-02-28T08:43:51.538+09:00"/>
              <profile
                       value="http://e-path.jp/fhir/ePath/StructureDefinition/EPath_Goal_ePathApply"/>
            </meta>
            <text>
              <status value="generated"/>
              <div xmlns="http://www.w3.org/1999/xhtml"><a name="Goal_null"> </a>PCI（2泊3日）NP Local：終了</div>
            </text>
            <extension
                       url="http://e-path.jp/fhir/ePath/Extension/StructureDefinition/EPath_Goal_StatusReason">
              <valueCodeableConcept>
                <coding>
                  <system
                          value="http://e-path.jp/fhir/ePath/CodeSystem/EPath_PathStatusReason_CS"/>
                  <code value="cancel-reason"/>
                  <display value="中止理由表記"/>
                </coding>
                <text value="パスの中止理由です。"/>
              </valueCodeableConcept>
            </extension>
            <identifier>
              <system
                      value="http://e-path.jp/fhir/ePath/IdSystem/resourceInstance-identifier"/>
              <value
                     value="goal^4019819897^d45b4072-9302-4012-85c5-962b17cb2a00"/>
            </identifier>
            <identifier>
              <system value="http://e-path.jp/fhir/ePath/IdSystem/apply-id"/>
              <value value="d45b4072-9302-4012-85c5-962b17cb2a00"/>
            </identifier>
            <lifecycleStatus value="completed"/>
            <description>
              <text value="PCI（2泊3日）NP"/>
            </description>
            <subject>
              <reference value="urn:uuid:550ae89f-7884-4b60-84a9-9de4b605ed6b"/>
            </subject>
            <statusReason value="パスの中止理由です。"/>
          </Goal>
        </resource>
      </entry>
      <entry>
        <fullUrl value="urn:uuid:d666ed94-483c-43d1-9e2e-63c8df171032"/>
        <resource>
          <CarePlan>
            <meta>
              <lastUpdated value="2025-02-28T08:43:51.538+09:00"/>
              <profile
                       value="http://e-path.jp/fhir/ePath/StructureDefinition/EPath_CarePlan_Event"/>
            </meta>
            <text>
              <status value="generated"/>
              <div xmlns="http://www.w3.org/1999/xhtml"><a name="CarePlan_null"> </a>【病日・イベント】入院日</div>
            </text>
            <extension
                       url="http://e-path.jp/fhir/ePath/Extension/StructureDefinition/EPath_CarePlan_PathStepName">
              <valueString value="１回目パスステップ"/>
            </extension>
            <extension
                       url="http://e-path.jp/fhir/ePath/Extension/StructureDefinition/EPath_CarePlan_PathStepInpatientOutpatientType">
              <valueCode value="I"/>
            </extension>
            <extension
                       url="http://e-path.jp/fhir/ePath/Extension/StructureDefinition/EPath_CarePlan_PathStepStartDate">
              <valueDate value="2018-06-05"/>
            </extension>
            <extension
                       url="http://e-path.jp/fhir/ePath/Extension/StructureDefinition/EPath_CarePlan_AllowableElapsedDaysConditionType">
              <valueCode value="3"/>
            </extension>
            <extension
                       url="http://e-path.jp/fhir/ePath/Extension/StructureDefinition/EPath_CarePlan_AllowableElapsedDaysConditionDays">
              <valueInteger value="1"/>
            </extension>
            <extension
                       url="http://e-path.jp/fhir/ePath/Extension/StructureDefinition/EPath_CarePlan_AllowableElapsedDaysConditionDate">
              <valueDate value="2018-06-05"/>
            </extension>
            <extension
                       url="http://e-path.jp/fhir/ePath/Extension/StructureDefinition/EPath_CarePlan_AllowableElapsedDaysConditionRangeLow">
              <valueInteger value="2"/>
            </extension>
            <extension
                       url="http://e-path.jp/fhir/ePath/Extension/StructureDefinition/EPath_CarePlan_AllowableElapsedDaysConditionRangeHigh">
              <valueInteger value="5"/>
            </extension>
            <identifier>
              <system
                      value="http://e-path.jp/fhir/ePath/IdSystem/resourceInstance-identifier"/>
              <value
                     value="careplan^4019819897^d45b4072-9302-4012-85c5-962b17cb2a00^1-1"/>
            </identifier>
            <identifier>
              <system
                      value="http://e-path.jp/fhir/ePath/IdSystem/eventElapsedDays"/>
              <value value="1"/>
            </identifier>
            <identifier>
              <system value="http://e-path.jp/fhir/ePath/IdSystem/pathStep"/>
              <value value="1"/>
            </identifier>
            <partOf>
              <reference value="urn:uuid:24b75aa4-1f99-4070-a98a-5b970603e5fa"/>
              <display value="PCI（2泊3日）NP Local"/>
            </partOf>
            <status value="completed"/>
            <intent value="plan"/>
            <category>
              <text value="入院日"/>
            </category>
            <title value="入院日"/>
            <subject>
              <reference value="urn:uuid:550ae89f-7884-4b60-84a9-9de4b605ed6b"/>
            </subject>
            <goal>
              <reference value="urn:uuid:ee6c6542-b95f-423c-bbcc-13bd62d05ac6"/>
              <display value="入院日"/>
            </goal>
          </CarePlan>
        </resource>
      </entry>
      <entry>
        <fullUrl value="urn:uuid:ee6c6542-b95f-423c-bbcc-13bd62d05ac6"/>
        <resource>
          <Goal>
            <meta>
              <lastUpdated value="2025-02-28T08:43:51.538+09:00"/>
              <profile
                       value="http://e-path.jp/fhir/ePath/StructureDefinition/EPath_Goal_Event"/>
            </meta>
            <text>
              <status value="generated"/>
              <div xmlns="http://www.w3.org/1999/xhtml"><a name="Goal_null"> </a>【病日・イベント評価】入院日</div>
            </text>
            <extension
                       url="http://e-path.jp/fhir/ePath/Extension/StructureDefinition/EPath_Goal_EvaluatedDateTime">
              <valueDateTime value="2018-06-05T19:20:00+09:00"/>
            </extension>
            <extension
                       url="http://e-path.jp/fhir/ePath/Extension/StructureDefinition/EPath_Goal_EvaluatorName">
              <valueString value="記録者"/>
            </extension>
            <extension
                       url="http://e-path.jp/fhir/ePath/Extension/StructureDefinition/EPath_Goal_EvaluatorRole">
              <valueString value="1"/>
            </extension>
            <identifier>
              <system
                      value="http://e-path.jp/fhir/ePath/IdSystem/resourceInstance-identifier"/>
              <value
                     value="goal^4019819897^d45b4072-9302-4012-85c5-962b17cb2a00^1-1"/>
            </identifier>
            <identifier>
              <system
                      value="http://e-path.jp/fhir/ePath/IdSystem/eventElapsedDays"/>
              <value value="1"/>
            </identifier>
            <identifier>
              <system value="http://e-path.jp/fhir/ePath/IdSystem/pathStep"/>
              <value value="1"/>
            </identifier>
            <lifecycleStatus value="completed"/>
            <description>
              <text value="入院日"/>
            </description>
            <subject>
              <reference value="urn:uuid:550ae89f-7884-4b60-84a9-9de4b605ed6b"/>
            </subject>
            <statusDate value="2018-06-05"/>
            <statusReason value="継続"/>
          </Goal>
        </resource>
      </entry>
      <entry>
        <fullUrl value="urn:uuid:c43b7a1e-9edb-4418-a16d-5cf89718bc93"/>
        <resource>
          <CarePlan>
            <meta>
              <lastUpdated value="2025-02-28T08:43:51.538+09:00"/>
              <profile
                       value="http://e-path.jp/fhir/ePath/StructureDefinition/EPath_CarePlan_OATUnit"/>
            </meta>
            <text>
              <status value="generated"/>
              <div xmlns="http://www.w3.org/1999/xhtml"><a name="CarePlan_null"> </a>【oatUnit】e89a8e7c-2f30-4a8e-88d7-41cdf3e7617a</div>
            </text>
            <extension
                       url="http://e-path.jp/fhir/ePath/Extension/StructureDefinition/EPath_CarePlan_StatusTypeWhenOccured">
              <valueCode value="12"/>
            </extension>
            <extension
                       url="http://e-path.jp/fhir/ePath/Extension/StructureDefinition/EPath_CarePlan_UnplannedKind">
              <valueCode value="unscheduled"/>
            </extension>
            <extension
                       url="http://e-path.jp/fhir/ePath/Extension/StructureDefinition/EPath_CarePlan_CriticalIndicator">
              <valueCode value="Y"/>
            </extension>
            <identifier>
              <system
                      value="http://e-path.jp/fhir/ePath/IdSystem/resourceInstance-identifier"/>
              <value
                     value="careplan^4019819897^d45b4072-9302-4012-85c5-962b17cb2a00^1_1^e89a8e7c-2f30-4a8e-88d7-41cdf3e7617a"/>
            </identifier>
            <identifier>
              <system
                      value="http://e-path.jp/fhir/ePath/IdSystem/oatUnitIdentification"/>
              <value value="e89a8e7c-2f30-4a8e-88d7-41cdf3e7617a"/>
            </identifier>
            <partOf>
              <reference value="urn:uuid:24b75aa4-1f99-4070-a98a-5b970603e5fa"/>
              <display value="PCI（2泊3日）NP Local"/>
            </partOf>
            <partOf>
              <reference value="urn:uuid:d666ed94-483c-43d1-9e2e-63c8df171032"/>
              <display value="入院日"/>
            </partOf>
            <status value="completed"/>
            <intent value="plan"/>
            <category>
              <coding>
                <system value="urn:oid:1.2.392.200250.3.2.200.10"/>
                <code value="H"/>
                <display value="患者状態"/>
              </coding>
            </category>
            <category>
              <coding>
                <system value="urn:oid:1.2.392.200250.3.2.200.20"/>
                <code value="H002"/>
                <display value="その他の全身状態"/>
              </coding>
            </category>
            <category>
              <coding>
                <system value="urn:oid:1.2.392.200250.3.2.200.30"/>
                <code value="O00470"/>
                <display value="身体的準備ができている"/>
              </coding>
            </category>
            <title value="身体的準備ができている"/>
            <subject>
              <reference value="urn:uuid:550ae89f-7884-4b60-84a9-9de4b605ed6b"/>
            </subject>
            <goal>
              <reference value="urn:uuid:1350a219-8777-44f8-b7c2-347403eba79b"/>
            </goal>
          </CarePlan>
        </resource>
      </entry>
      <entry>
        <fullUrl value="urn:uuid:1350a219-8777-44f8-b7c2-347403eba79b"/>
        <resource>
          <Goal>
            <meta>
              <lastUpdated value="2025-02-28T08:43:51.538+09:00"/>
              <profile
                       value="http://e-path.jp/fhir/ePath/StructureDefinition/EPath_Goal_Outcome"/>
            </meta>
            <text>
              <status value="generated"/>
              <div xmlns="http://www.w3.org/1999/xhtml"><a name="Goal_null"> </a>【アウトカム評価】身体的準備ができている ：達成</div>
            </text>
            <extension
                       url="http://e-path.jp/fhir/ePath/Extension/StructureDefinition/EPath_Goal_Variance_Subjective">
              <valueString value="SOAP-subjective"/>
            </extension>
            <extension
                       url="http://e-path.jp/fhir/ePath/Extension/StructureDefinition/EPath_Goal_Variance_Objective">
              <valueString value="ECGにST変化あり【観察項目実績値】収縮期血圧：135mmHg"/>
            </extension>
            <extension
                       url="http://e-path.jp/fhir/ePath/Extension/StructureDefinition/EPath_Goal_Variance_Action">
              <valueString value="SOAP-action"/>
            </extension>
            <extension
                       url="http://e-path.jp/fhir/ePath/Extension/StructureDefinition/EPath_Goal_Variance_Plan">
              <valueString value="ニトロール開始"/>
            </extension>
            <extension
                       url="http://e-path.jp/fhir/ePath/Extension/StructureDefinition/EPath_Goal_EvaluatedDateTime">
              <valueDateTime value="1900-01-01T00:00:00+09:00"/>
            </extension>
            <extension
                       url="http://e-path.jp/fhir/ePath/Extension/StructureDefinition/EPath_Goal_EvaluatorName">
              <valueString value="記録者"/>
            </extension>
            <extension
                       url="http://e-path.jp/fhir/ePath/Extension/StructureDefinition/EPath_Goal_EvaluatorRole">
              <valueString value="医師"/>
            </extension>
            <identifier>
              <system
                      value="http://e-path.jp/fhir/ePath/IdSystem/resourceInstance-identifier"/>
              <value
                     value="goal^4019819897^d45b4072-9302-4012-85c5-962b17cb2a00^1_1^e89a8e7c-2f30-4a8e-88d7-41cdf3e7617a"/>
            </identifier>
            <identifier>
              <system
                      value="http://e-path.jp/fhir/ePath/IdSystem/oatUnitIdentification"/>
              <value value="e89a8e7c-2f30-4a8e-88d7-41cdf3e7617a"/>
            </identifier>
            <lifecycleStatus value="completed"/>
            <achievementStatus>
              <coding>
                <system value="urn:oid:1.2.392.200250.2.2.50.170"/>
                <code value="1"/>
                <display value="達成"/>
              </coding>
            </achievementStatus>
            <category>
              <coding>
                <system value="urn:oid:1.2.392.200250.3.2.200.10"/>
                <code value="H"/>
                <display value="患者状態"/>
              </coding>
            </category>
            <category>
              <coding>
                <system value="urn:oid:1.2.392.200250.3.2.200.20"/>
                <code value="H002"/>
                <display value="その他の全身状態"/>
              </coding>
            </category>
            <description>
              <text value="身体的準備ができている"/>
            </description>
            <subject>
              <reference value="urn:uuid:550ae89f-7884-4b60-84a9-9de4b605ed6b"/>
            </subject>
            <target>
              <measure>
                <coding>
                  <system value="urn:oid:1.2.392.200250.3.2.200.50"/>
                  <code value="O00470"/>
                  <display value="身体的準備ができている"/>
                </coding>
              </measure>
            </target>
          </Goal>
        </resource>
      </entry>
      <entry>
        <fullUrl value="urn:uuid:d3d5d7c9-2783-4471-b02f-26eb54aca89d"/>
        <resource>
          <CarePlan>
            <meta>
              <lastUpdated value="2025-02-28T08:43:51.538+09:00"/>
              <profile
                       value="http://e-path.jp/fhir/ePath/StructureDefinition/EPath_CarePlan_Assessment"/>
            </meta>
            <text>
              <status value="generated"/>
              <div xmlns="http://www.w3.org/1999/xhtml"><a name="CarePlan_null"> </a>【観察項目】感冒症状がない</div>
            </text>
            <identifier>
              <system
                      value="http://e-path.jp/fhir/ePath/IdSystem/resourceInstance-identifier"/>
              <value
                     value="careplan^4019819897^d45b4072-9302-4012-85c5-962b17cb2a00^1_1^e89a8e7c-2f30-4a8e-88d7-41cdf3e7617a^3400063200"/>
            </identifier>
            <partOf>
              <reference value="urn:uuid:24b75aa4-1f99-4070-a98a-5b970603e5fa"/>
              <display value="PCI（2泊3日）NP Local"/>
            </partOf>
            <partOf>
              <reference value="urn:uuid:d666ed94-483c-43d1-9e2e-63c8df171032"/>
              <display value="入院日"/>
            </partOf>
            <partOf>
              <reference value="urn:uuid:c43b7a1e-9edb-4418-a16d-5cf89718bc93"/>
              <display value="身体的準備ができている"/>
            </partOf>
            <status value="completed"/>
            <intent value="plan"/>
            <category>
              <coding>
                <system value="urn:oid:1.2.392.200250.3.2.200.40"/>
                <code value="34"/>
                <display value="呼吸"/>
              </coding>
            </category>
            <category>
              <coding>
                <system value="urn:oid:1.2.392.200250.3.2.200.50"/>
                <code value="3400063200"/>
                <display value="感冒症状がない"/>
              </coding>
            </category>
            <title value="感冒症状がない"/>
            <subject>
              <reference value="urn:uuid:550ae89f-7884-4b60-84a9-9de4b605ed6b"/>
            </subject>
            <goal>
              <reference value="urn:uuid:5114a486-9e56-4362-ba74-073ab308fadc"/>
            </goal>
            <goal>
              <reference value="urn:uuid:fd898df6-54cb-4523-8899-94f6a9dceff5"/>
            </goal>
            <activity>
              <outcomeReference>
                <reference value="urn:uuid:5d7b01e8-5826-4a6c-bc9a-17b1dbd819f9"/>
                <display value="感冒様症状"/>
              </outcomeReference>
            </activity>
          </CarePlan>
        </resource>
      </entry>
      <entry>
        <fullUrl value="urn:uuid:5114a486-9e56-4362-ba74-073ab308fadc"/>
        <resource>
          <Goal>
            <meta>
              <lastUpdated value="2025-02-28T08:43:51.538+09:00"/>
              <profile
                       value="http://e-path.jp/fhir/ePath/StructureDefinition/EPath_Goal_AssessmentExecution"/>
            </meta>
            <text>
              <status value="generated"/>
              <div xmlns="http://www.w3.org/1999/xhtml"><a name="Goal_null"> </a>【観察項目実施】感冒症状がない:なし 達成</div>
            </text>
            <contained>
              <Observation>
                <id
                    value="4dde03f4e5b8c001821dcd5cdc21b10f870232b57a7990fd31665b58a27ba2be"/>
                <meta>
                  <profile
                           value="http://e-path.jp/fhir/ePath/StructureDefinition/EPath_Observation_Execution"/>
                </meta>
                <text>
                  <status value="generated"/>
                  <div xmlns="http://www.w3.org/1999/xhtml">【観察結果】感冒症状がない：なし1 </div>
                </text>
                <status value="final"/>
                <category>
                  <coding>
                    <system value="urn:oid:1.2.392.200250.3.2.200.40"/>
                    <code value="34"/>
                    <display value="呼吸"/>
                  </coding>
                </category>
                <code>
                  <coding>
                    <system value="urn:oid:1.2.392.200250.3.2.200.50"/>
                    <code value="3400063200"/>
                    <display value="感冒症状がない"/>
                  </coding>
                </code>
                <valueString value="なし1"/>
              </Observation>
            </contained>
            <extension
                       url="http://e-path.jp/fhir/ePath/Extension/StructureDefinition/EPath_Goal_EvaluatedDateTime">
              <valueDateTime value="2018-06-05T17:30:00+09:00"/>
            </extension>
            <extension
                       url="http://e-path.jp/fhir/ePath/Extension/StructureDefinition/EPath_Goal_EvaluatorName">
              <valueString value="記録者"/>
            </extension>
            <extension
                       url="http://e-path.jp/fhir/ePath/Extension/StructureDefinition/EPath_Goal_EvaluatorRole">
              <valueString value="10"/>
            </extension>
            <identifier>
              <system
                      value="http://e-path.jp/fhir/ePath/IdSystem/resourceInstance-identifier"/>
              <value
                     value="goal^4019819897^d45b4072-9302-4012-85c5-962b17cb2a00^1_1^e89a8e7c-2f30-4a8e-88d7-41cdf3e7617a^3400063200^1"/>
            </identifier>
            <lifecycleStatus value="completed"/>
            <achievementStatus>
              <coding>
                <system value="urn:oid:1.2.392.200250.2.2.50.170"/>
                <code value="1"/>
                <display value="達成"/>
              </coding>
            </achievementStatus>
            <category>
              <coding>
                <system value="urn:oid:1.2.392.200250.3.2.200.40"/>
                <code value="34"/>
                <display value="呼吸"/>
              </coding>
            </category>
            <description>
              <text value="感冒症状がない:なし"/>
            </description>
            <subject>
              <reference value="urn:uuid:550ae89f-7884-4b60-84a9-9de4b605ed6b"/>
            </subject>
            <target>
              <measure>
                <coding>
                  <system value="urn:oid:1.2.392.200250.3.2.200.50"/>
                  <code value="3400063200"/>
                  <display value="感冒症状がない"/>
                </coding>
              </measure>
              <detailString value="なし"/>
            </target>
            <outcomeReference>
              <reference
                         value="#4dde03f4e5b8c001821dcd5cdc21b10f870232b57a7990fd31665b58a27ba2be"/>
              <display value="感冒症状がない"/>
            </outcomeReference>
          </Goal>
        </resource>
      </entry>
      <entry>
        <fullUrl value="urn:uuid:fd898df6-54cb-4523-8899-94f6a9dceff5"/>
        <resource>
          <Goal>
            <meta>
              <lastUpdated value="2025-02-28T08:43:51.538+09:00"/>
              <profile
                       value="http://e-path.jp/fhir/ePath/StructureDefinition/EPath_Goal_AssessmentExecution"/>
            </meta>
            <text>
              <status value="generated"/>
              <div xmlns="http://www.w3.org/1999/xhtml"><a name="Goal_null"> </a>【観察項目実施】感冒症状がない:なし 達成</div>
            </text>
            <contained>
              <Observation>
                <id
                    value="365bc638deed9c7745e7097c530b8076c2dbb17cc91b0f7f83f1e03bec895f14"/>
                <meta>
                  <profile
                           value="http://e-path.jp/fhir/ePath/StructureDefinition/EPath_Observation_Execution"/>
                </meta>
                <text>
                  <status value="generated"/>
                  <div xmlns="http://www.w3.org/1999/xhtml">【観察結果】感冒症状がない：なし2 </div>
                </text>
                <status value="final"/>
                <category>
                  <coding>
                    <system value="urn:oid:1.2.392.200250.3.2.200.40"/>
                    <code value="34"/>
                    <display value="呼吸"/>
                  </coding>
                </category>
                <code>
                  <coding>
                    <system value="urn:oid:1.2.392.200250.3.2.200.50"/>
                    <code value="3400063200"/>
                    <display value="感冒症状がない"/>
                  </coding>
                </code>
                <valueString value="なし2"/>
              </Observation>
            </contained>
            <extension
                       url="http://e-path.jp/fhir/ePath/Extension/StructureDefinition/EPath_Goal_EvaluatedDateTime">
              <valueDateTime value="2018-06-05T17:31:00+09:00"/>
            </extension>
            <extension
                       url="http://e-path.jp/fhir/ePath/Extension/StructureDefinition/EPath_Goal_EvaluatorName">
              <valueString value="記録者"/>
            </extension>
            <extension
                       url="http://e-path.jp/fhir/ePath/Extension/StructureDefinition/EPath_Goal_EvaluatorRole">
              <valueString value="10"/>
            </extension>
            <identifier>
              <system
                      value="http://e-path.jp/fhir/ePath/IdSystem/resourceInstance-identifier"/>
              <value
                     value="goal^4019819897^d45b4072-9302-4012-85c5-962b17cb2a00^1_1^e89a8e7c-2f30-4a8e-88d7-41cdf3e7617a^3400063200^2"/>
            </identifier>
            <lifecycleStatus value="completed"/>
            <achievementStatus>
              <coding>
                <system value="urn:oid:1.2.392.200250.2.2.50.170"/>
                <code value="1"/>
                <display value="達成"/>
              </coding>
            </achievementStatus>
            <category>
              <coding>
                <system value="urn:oid:1.2.392.200250.3.2.200.40"/>
                <code value="34"/>
                <display value="呼吸"/>
              </coding>
            </category>
            <description>
              <text value="感冒症状がない:なし"/>
            </description>
            <subject>
              <reference value="urn:uuid:550ae89f-7884-4b60-84a9-9de4b605ed6b"/>
            </subject>
            <target>
              <measure>
                <coding>
                  <system value="urn:oid:1.2.392.200250.3.2.200.50"/>
                  <code value="3400063200"/>
                  <display value="感冒症状がない"/>
                </coding>
              </measure>
              <detailString value="なし"/>
            </target>
            <outcomeReference>
              <reference
                         value="#365bc638deed9c7745e7097c530b8076c2dbb17cc91b0f7f83f1e03bec895f14"/>
              <display value="感冒症状がない"/>
            </outcomeReference>
          </Goal>
        </resource>
      </entry>
      <entry>
        <fullUrl value="urn:uuid:5d7b01e8-5826-4a6c-bc9a-17b1dbd819f9"/>
        <resource>
          <Procedure>
            <meta>
              <lastUpdated value="2025-02-28T08:43:51.538+09:00"/>
              <profile
                       value="http://e-path.jp/fhir/ePath/StructureDefinition/EPath_Procedure_Task"/>
            </meta>
            <text>
              <status value="generated"/>
              <div xmlns="http://www.w3.org/1999/xhtml"><a name="Procedure_null"> </a>【タスク】感冒様症状：実施</div>
            </text>
            <identifier>
              <system
                      value="http://e-path.jp/fhir/ePath/IdSystem/resourceInstance-identifier"/>
              <value
                     value="task^4019819897^d45b4072-9302-4012-85c5-962b17cb2a00^1_1^e89a8e7c-2f30-4a8e-88d7-41cdf3e7617a^31001478^1"/>
            </identifier>
            <status value="completed"/>
            <category>
              <coding>
                <system value="urn:oid:1.2.392.200250.2.2.50.150.1"/>
                <code value="11"/>
              </coding>
            </category>
            <code>
              <coding>
                <system value="urn:oid:1.2.392.200250.2.2.50.150.2"/>
                <code value="31001478"/>
                <display value="感冒様症状"/>
              </coding>
            </code>
            <subject>
              <reference value="urn:uuid:550ae89f-7884-4b60-84a9-9de4b605ed6b"/>
            </subject>
            <performedDateTime value="2018-06-05T17:30:00+09:00"/>
            <performer>
              <actor>
                <display value="実施者"/>
              </actor>
            </performer>
          </Procedure>
        </resource>
      </entry>
    </Bundle>